Saturday, 16 June 2012

Some important radiological findings in Gastrointestinal system

Some important radiological findings in gastrointestinal surgery:

Bird's Beak deformity of lower
oesophagus - Achalsia cardia (Barium Swallow)

Rat tail tapering of lower
oesophagus - Carcinoma oesophagus (Barium Swallow)

Cork screw oesophagus - Diffuse oesophageal spasm (Barium Swallow)

Commonest radiological appearance of
gastric carcinoma (in barium meal
follow through) is - filling defect in
antrum / body of stomach

Trifoliate duodenum - Chronic duodenal ulcer with scarring (Barium
Meal)

Hour Glass stomach - Peptic ulcer Cup & Spill / Cascade stomach - Volvulus of stomach

Constriction of transverse duodenum - superior mesenteric artery syndrome

Bull's eye lesion (in barium meal) - Leiomyosarcoma

Single-bubble appearance - pyloric stenosis

Double-bubble sign - Duodenal atresia, duodenal stenosis, annular pancreas

Triple-bubble sign - Jejunal atresia

Coffee bean sign - Strangulation of incompletely obstructed loop of small
intestine

String of Beads - Small bowel obstruction

Coiled spring appearance - Intussusception Pincer-shaped ending in barium enema - Intussusception Bird of

Prey sign - Sigmoid volvulus

Moulage sign (flocculation of barium, with mucosal thickening) - seen in -
malabsorption syndrome

String sign of Cantor - Crohn's disease

Pipe-stem appearance (Loss of
Haustrations)- Ulcerative Colitis (Barium Enema)

Saw-tooth appearance and / or diverticula - Diverticular disease /
Diverticulosis (Barium Enema)

Scalloping of edge of sigmoid colon on barium enema - Ulcerative colitis

Napkin ring sign - Annular carcinoma of colon

Porcelain gall bladder - Carcinoma of gall bladder

Pad sign - Carcinoma pancreas (Barium Meal) ERCP

Scrambled-egg appearance - Carcinoma of pancreas

Chain of Lakes appearance - Chronic pancreatitis

Double duct sign - Carcinoma of pancreas PTC

Meniscus sign - Choledocholithiasis

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